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Since publication in 1958, George Rosen's classic book has been regarded as the essential international history of public health. Describing the development of public health in classical Greece, imperial Rome, England, Europe, the United States, and elsewhere, Rosen illuminates the lives and contributions of the field's great figures. He considers such community health problems as infectious disease, water supply and sewage disposal, maternal and child health, nutrition, and occupational disease and injury. And he assesses the public health landscape of health education, public health administration, epidemiological theory, communicable disease control, medical care, statistics, public policy, and medical geography. Rosen, writing in the 1950s, may have had good reason to believe that infectious diseases would soon be conquered. But as Dr. Pascal James Imperato writes in the new foreword to this edition, infectious disease remains a grave threat. Globalization, antibiotic resistance, and the emergence of new pathogens and the reemergence of old ones, have returned public health efforts to the basics: preventing and controlling chronic and communicable diseases and shoring up public health infrastructures that provide potable water, sewage disposal, sanitary environments, and safe food and drug supplies to populations around the globe. A revised introduction by Elizabeth Fee frames the book within the context of the historiography of public health past, present, and future, and an updated bibliography by Edward T. Morman includes significant books on public health history published between 1958 and 2014. For seasoned professionals as well as students, A History of Public Health is visionary and essential reading.
Covering the latest developments in themes related to water disinfection by-products, this book brings the reader right up to date. Stemming from an international conference, contributions are from decision-makers, regulators and the relevant scientific community. Coverage includes emerging disinfection by-products, water treatment, water recycling, monitoring, regulation and health and toxicology aspects. It will be of interest to water companies, public health professionals, drinking water quality regulators, suppliers of laboratory and on-line monitoring equipment, analytical chemists, and academic and industry researchers working in the area of disinfection by-products.
Written by renowned epidemiologists and public health experts, this unique text provides complete, concise coverage of epidemiology, biostatistics, preventive medicine, and public health in clear, easy-to-understand terms. One convenient volume delivers must-know content in four complex areas-information that's sure to be covered in today's classrooms and on USMLE exams-presented with a clinical focus and real-life medical examples throughout. Depth of coverage, concise writing style, outstanding online review questions, a clinical emphasis . these features and more make Jekel's your go-to resource for learning, study, and review. Focuses on clinical problem solving and decision making using epidemiologic concepts and examples. Contains more clinical cases throughout, including global examples. Offers expanded coverage of the impact of big data and precision medicine, as well as an updated and reorganized biostatistics section. Features quick-reference boxes that showcase key concepts and calculations, and dynamic illustrations that facilitate learning using a highly visual approach. Provides almost 300 multiple-choice chapter review questions and answers in print, with additional questions and more online at Student Consult. Aligns content to board blueprints for the USMLE as well as the three specialties certified by the American Board of Preventive Medicine: Occupational Medicine, and Public Health & General Preventive Medicine-and is recommended by the ABPM as a top review source for its core specialty examination. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all the text, figures, and references from the book on a variety of devices. Evolve Instructor site, with an image and table bank as well as chapter overviews as PowerPoints, is available to instructors through their Elsevier sales rep or via request at: https://evolve.elsevier.com.
Continued geographic expansion of dengue viruses and their mosquito vectors has seen the magnitude and frequency of epidemic dengue/dengue hemorrhagic fever (DF/DHF) increase dramatically. Recent exciting research on dengue has resulted in major advances in our understanding of all aspects of the biology of these viruses, and this updated second edition brings together leading research and clinical scientists to review dengue virus biology, epidemiology, entomology, therapeutics, vaccinology and clinical management.
Provides a comprehensive examination of emergency management and offers concepts and strategies for creating effective programs This book looks at the larger context within which emergency management response occurs, and stresses the development of a program to address a wide range of issues. Not limited to traditional emergency response to natural disasters, it addresses a conceptual model capable of integrating multiple disciplines and dealing with unexpected emergencies. Emergency Management: Concepts and Strategies for Effective Programs, Second Edition starts by focusing on the three pillars on which successful emergency management is based: an understanding of history, knowledge of social science research, and technical expertise in emergency management operations. It provides insight as to how emergency management has evolved and suggests reasons why the current method of response planning doesn't work as well as it should. The book then goes on to discuss establishing and administering the emergency management program. It looks at the analysis of risk as the basis for strategy development, and considers both the traditional macro view of hazard identification and analysis as well as the micro view required for continuity planning. Strategy development is examined next, followed by coverage of planning process, techniques and methods. The book finishes with chapters on coordinating response, leading in crisis, and crisis management. Features two new chapters on the development of national response strategy and leadership in a crisis Incorporates the Principles of Emergency Management adopted by many emergency management professional associations and agencies Encourages the development of an enterprise wide program to address a wide range of potential threats Covers the various phases of comprehensive emergency management Integrates academic research with practical experience and case studies Emergency Management: Concepts and Strategies for Effective Programs is an important book that will benefit students, law enforcement, and state and local emergency managers and planners involved in emergency management.
"Superbly written and researched." --Booklist "Builds a strong case." --Kirkus Lyme disease is spreading rapidly around the globe as ticks move into places they could not survive before. The first epidemic to emerge in the era of climate change, the disease infects half a million people in the US and Europe each year, and untold multitudes in Canada, China, Russia, and Australia. Mary Beth Pfeiffer shows how we have contributed to this growing menace, and how modern medicine has underestimated its danger. She tells the heart-rending stories of families destroyed by a single tick bite, of children disabled, and of one woman's tragic choice after an exhaustive search for a cure. Pfeiffer also warns of the emergence of other tick-borne illnesses that make Lyme more difficult to treat and pose their own grave risks. Lyme is an impeccably researched account of an enigmatic disease, making a powerful case for action to fight ticks, heal patients, and recognize humanity's role in a modern scourge.
This volume examines the various challenges in access to health issues and the role of intellectual property rights in access to drugs as well as the scope for using traditional medicine in public health. The volume examines the Health Impact Fund, a mechanism proposed to incentivize research and development in neglected diseases and enhance access to drugs. It also analyzes how China and India can cooperate in the traditional medicine sector: providing reviews on the status of traditional medicine in both countries, the challenges of regulating that sector in China and India, intellectual property rights, and industrial policy. This is a unique collection of research essays that makes a significant contribution to the debates about access to medicine and role of traditional medicine in public health. A team of experts from China, India, UK, Germany, the Netherlands, Norway, and the Philippines have contributed to the volume and include Fatima Alvarez-Castillo, Rosa Cordillera Castillo, David Coles, Lynn J. Frewer, T. C. James, Jing Liu, Jon Pedersen, Wu Qunhong, K. Satyanarayana, Sun Xiaoyun, Liu Yan, Li Zhe, and Gao Zhiqian.
Based upon a study of NVQ assessors working within the nursing home sector, this book meets the requirements of the new Occupational Standards for NVQ assessors and provides practical advice on how to achieve the NVQ Assessors Award. It is primarily aimed at individuals working in the health care sector, but care workers who are working in social care, child care, education, and the criminal justice field should also find parts of the book relevant. Nurse teachers in Schools of Nursing which have implemented competence-based approaches towards Project 2000 programmes should also find the book useful. It covers the following topics: generating the required performance evidence accrediting prior learning and experience planning and maximizing assessments generating the required knowledge evidence and devising a portfolio of evidence. A series of study exercises leads the reader through critical activities which may be recorded as evidence towards Units D32/D33. A mechanism for recording this is provided together with advice on study skills, further reading, and the continued update of Assessors.
This second edition updates the reader on the most common intrauterine transmitted viral infection, CMV. The history of this disease, its pathophysiological background, epidemiology and symptoms, as well as diagnostic and therapeutic strategies, will be discussed in detail. Further a section specifically dedicated to prevention measures is included to the new edition. The chapter on virus-host interaction for defense and transmission is elaborately updated.
.".". this book was written from start to finish by one extremely dedicated and erudite individual. The author has done an excellent job of covering the many topics that fall under the umbrella of computational biology for vaccine design, demonstrating an admirable command of subject matter in fields as disparate as object-oriented databases and regulation of T cell response. Simply put, it has just the right breadth and depth, and it reads well. In fact, readability is one of its virtues--making the book enticing and useful, all at once..."" Human Vaccines, 2010
.".". This book has several strong points. Although there are many textbooks that deal with vaccinology, few attempts have been made to bring together descriptions of vaccines in history, basic bioinformatics, various computational solutions and challenges in vaccinology, detailed experimental methodologies, and cutting-edge technologies... This book may well serve as a first line of reference for all biologists and computer scientists..."" -Virology Journal, 2009
Vaccinology now has at its disposal an array of post-genomic approaches of great power. None has a more persuasive potential impact than the application of computational informatics to vaccine discovery; the recent expansion in genome data and the parallel increase in cheap computing power have placed the bioinformatics exploration of pathogen genomes centre stage for vaccine researchers.
This is the first book to address the area of bioinformatics as applied to rational vaccine design, discussing the ways in which bioinformatics can contribute to improved vaccine development byintroducing the subject of harnessing the mathematical and computing power inherent in bioinformatics to the study of vaccinologyputting it into a historical and societal context, and exploring the scope of its methods and applications.
"Bioinformatics for Vaccinology" is a one-stop introduction to computational vaccinology. It will be of particular interest to bioinformaticians with an interest in immunology, as well as to immunologists, and other biologists who need to understand how advances in theoretical and computational immunobiology can transform their working practices.
Over the past six decades, there have been dramatic changes in the dynamics of family life in the United States. Today, about seven out of 10 babies born to mothers under the age of 25 will not live with their fathers. From the perspective of many social scientists and politicians, this change has wreaked havoc on society, trapping women and children in poverty and loosening the civilizing bond between men and their families. Gallons of ink have been spilled making arguments that place the blame for this shift at the feet of either these individuals themselves, or point to eroding family and cultural values or systemic failures in social support programs. This book, however, is different: the goal of Lost and Found is not to look for blame, but instead to tell the stories of young men becoming fathers, to help readers understand the complexity of young couples who are struggling to work together as parents, sometimes successfully and sometimes not. Drawing from their research with over 1,000 young parents in Chicago and Salt Lake City, Paul Florsheim and David Moore focus on a group of about 20 young fathers whose stories-conveyed in their own words-help the reader make sense of what is happening to fatherhood in America. Having interviewed young fathers and their partners before and after their children were born, these stories provide a dynamic perspective on the development of young men and their relationships. Young mothers both corroborate and sometimes offer alternative or contradictory perspectives. Oriented to undo stereotypes, Florsheim and Moore introduce the notion of "good enough" fathering, tempering the tendency to think simply in terms of good or bad fathers. Throughout, the authors draw from a wide body of scholarship, from evolutionary biology to the economics of women's rights, to explain how young fathers came to occupy such a precarious position in contemporary society. In the final chapters, Florsheim and Moore provide concrete recommendations for strengthening fathers' roles, offering detailed descriptions of what can be done to help young fathers and mothers create stable home environments for their children, whether the parents are together or not.
This book is about communicating for health and social change. With a clear focus on public health and health promotion practice, it provides a unique introduction to media and cultural studies perspectives on health communication. Health Communication explores the dynamic world of contemporary mass media and diverse forms of alternative, mobile and social media: * How are communities using media to communicate about health and advocate for social change? * What are the challenges and opportunities involved with using the media for health communication? * How can health promotion practitioners utilise media to create opportunities for more participatory and empowering approaches to health communication? This indispensable guide to health communication provides readers with detailed and practical insights into the role of media and culture in contemporary health issues. Accessible theory is blended with case studies from around the world giving students, academics, and practitioners an invaluable framework for practice and a rich source of material for discussion.
From seventeenth-century broadsides about the handling of dead bodies, printed during London's plague years, to YouTube videos about preventing the transmission of STDs, public health advocacy and education has always had a powerful visual component. Imagining Illness explores the diverse visual culture of public health, broadly defined, from the nineteenth century to the present.Contributors to this volume examine historical and contemporary visual practices-Chinese health fairs, documentary films produced by the World Health Organization, illness maps, fashions for nurses, and live surgery on the Internet-in order to delve into the political and epidemiological contexts underlying their creation and dissemination. Contributors: Liping Bu, Alma College; Lisa Cartwright, U of California, San Diego; Roger Cooter, U College London; William H. Helfand; Lenore Manderson, Monash U, Australia; Emily Martin, New York U; Gregg Mitman, U of Wisconsin, Madison; Mark Monmonier, Syracuse U; Kirsten Ostherr, Rice U; Katherine Ott, National Museum of American History, Smithsonian; Shawn Michelle Smith, Art Institute of Chicago; Claudia Stein, Warwick U.
An engaging history of the role that George Washington, Thomas Jefferson, and Benjamin Franklin played in the origins of public health in America Before the advent of modern antibiotics, one's life could be abruptly shattered by contagion and death, and debility from infectious diseases and epidemics was commonplace for early Americans, regardless of social status. Concerns over health affected the founding fathers and their families as it did slaves, merchants, immigrants, and everyone else in North America. As both victims of illness and national leaders, the Founders occupied a unique position regarding the development of public health in America. Revolutionary Medicine refocuses the study of the lives of George and Martha Washington, Benjamin Franklin, Thomas Jefferson, John and Abigail Adams, and James and Dolley Madison away from the usual lens of politics to the unique perspective of sickness, health, and medicine in their era. For the founders, republican ideals fostered a reciprocal connection between individual health and the "health" of the nation. Studying the encounters of these American founders with illness and disease, as well as their viewpoints about good health, not only provides us with a richer and more nuanced insight into their lives, but also opens a window into the practice of medicine in the eighteenth century, which is at once intimate, personal, and first hand. Perhaps most importantly, today's American public health initiatives have their roots in the work of America's founders, for they recognized early on that government had compelling reasons to shoulder some new responsibilities with respect to ensuring the health and well-being of its citizenry. The state of medicine and public healthcare today is still a work in progress, but these founders played a significant role in beginning the conversation that shaped the contours of its development.
Fully revised to reflect the new changes to the GP contract and the GP curriculum, this fourth edition of the best-selling Oxford Handbook of General Practice is a practical guide to all aspects of general practice; from vital clinical information, to valuable practical guidance from experienced GPs. This is the essential guide for all those working in general practice.
Comprehensively covering everything a doctor needs to work in, or manage a GP practice, this handbook ensures readers are always up-to-date with the latest guidelines, the most recent protocols, and cutting-edge clinical information. With concise, bullet-point information the chapters are now colour-coded to ensure the reader can find vital emergency or clinical information without delay. Fully illustrated, and packed with even more figures, diagrams, management boxes, and tables to improve ease-of-reference, the reader will always have the vital information they need at their fingertips.
"What is public health and why is it important?" By looking at the foundations of public health, its historical evolution, the themes that underpin public health and the increasing importance of globalization, this book provides thorough answers to these important questions.
Written by experts in the field, the book discusses the core issues of modern public health, such as tackling vested interests head on, empowering people so they can make healthy decisions, and recognising the political nature of the issues. The new edition has been updated to identify good modern public health practice, evolving from evidence. New features include: Two new chapters on the expanding role of public health, covering the issues of sustainability and climate change, human rights, genetics and armed conflict Expanded UK and international examples Examination of the impact of globalization on higher and lower income countries Exploration of the tension between the population approach and the personal behaviour change model of health promotion A variety of activities to help understanding and learning of the topics "Issues in Public Health" is an ideal introductory text for higher education students studying public health in depth.
Series Editors: Rosalind Plowman and Nicki Thorogood.
Covering both principles and practice, The ESC Textbook of Preventive Cardiology is a 'state of the art' resource for both the primary and secondary prevention of atherosclerotic cardiovascular disease. Comprehensive, practical and extensively linked to practice guidelines and recommendations from the European Association of Preventive Cardiology (EAPC) it clearly connects the latest evidence base to strategies and proposals for the implementation of prevention in clinical practice. With a strong clinical focus the topics covered range from epidemiology and risk stratification through psychological factors, behaviour and motivation to secondary prevention, integrating hospital-based and community care for cardiovascular disease prevention and information on cardio-protective drugs. Case studies, clinical decision-making trees and drug tables with recommended doses and potential side-effects make it easier than ever to implement treatments in practice. Drawing together current knowledge and evidence, and examining all aspects of preventive cardiology in one succinct volume, The ESC Textbook of Preventive Cardiology is the ideal guide for the physician and allied health professional working to prevent and treat cardiovascular disease in their daily practice. This print edition of The ESC Textbook of Preventive Cardiology comes with access to the online version on Oxford Medicine Online, for as long as the edition is published by Oxford University Press. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables.
Winner, 2018 Donald W. Light Award for Applied Medical Sociology, American Sociological Association Medical Sociology Section Winner, 2018 Distinguished Scholarship Award presented by the Pacific Sociology Association Honorable Mention, 2017 ESS Mirra Komarovsky Book Award presented by the Eastern Sociological Society Outstanding Book Award for the Section on Altruism, Morality, and Social Solidarity presented by the American Sociological Association A rich, multi-faceted examination into the attitudes and beliefs of parents who choose not to immunize their children The measles outbreak at Disneyland in December 2014 spread to a half-dozen U.S. states and sickened 147 people. It is just one recent incident that the medical community blames on the nation's falling vaccination rates. Still, many parents continue to claim that the risks that vaccines pose to their children are far greater than their benefits. Given the research and the unanimity of opinion within the medical community, many ask how such parents-who are most likely to be white, college educated, and with a family income over $75,000-could hold such beliefs. For over a decade, Jennifer Reich has been studying the phenomenon of vaccine refusal from the perspectives of parents who distrust vaccines and the corporations that make them, as well as the health care providers and policy makers who see them as essential to ensuring community health. Reich reveals how parents who opt out of vaccinations see their decision: what they fear, what they hope to control, and what they believe is in their child's best interest. Based on interviews with parents who fully reject vaccines as well as those who believe in "slow vax," or altering the number of and time between vaccinations, the author provides a fascinating account of these parents' points of view. Placing these stories in dialogue with those of pediatricians who see the devastation that can be caused by vaccine-preventable diseases and the policy makers who aim to create healthy communities, Calling the Shots offers a unique opportunity to understand the points of disagreement on what is best for children, communities, and public health, and the ways in which we can bridge these differences.
Essential Clinical Global Health is a brand-new, pioneering, and evidence-based textbook that provides a clinical overview of the increasingly prominent specialty of global health. Originally developed from a course at Harvard Medical School, and now with contributions from nearly 100 world-renowned global health experts from across the globe, this textbook presents vital information required of students, trainees, and clinicians during their international experiences and training. Essential Clinical Global Health introduces readers to the up-to-date knowledge, skills, and approaches needed for productive and rewarding global health experiences. It provides essential clinical information on the diagnosis, management, and prevention of the leading causes of morbidity and mortality in low- and middle-income countries. The textbook also includes practical guidance on topics such as health systems, population-based approaches, cultural awareness and sensitivity, travel preparedness and safety, and career development in global health. With key learning objectives in each chapter, practical clinical advice, setting-appropriate guidelines, personal field experiences from student and clinician contributors, Essential Clinical Global Health is the first global health textbook with a clinical focus for healthcare students, trainees, and providers. A companion website at www.wileyessential.com/globalhealth features self-assessment questions and videos.
Now revised and expanded to cover today's most pressing health threats, "Public Health Law and Ethics "probes the legal and ethical issues at the heart of public health through an incisive selection of government reports, scholarly articles, and relevant court cases. Companion to the internationally acclaimed text "Public Health Law: Power, Duty, Restraint, "this reader can also be used as a stand-alone resource for students, practitioners, scholars, and teachers. It encompasses global issues that have changed the shape of public health in recent years including anthrax, SARS, pandemic flu, biosecurity, emergency preparedness, and the transition from infectious to chronic diseases caused by lifestyle changes in eating and physical activity. In addition to covering these new arenas, it includes discussion of classic legal and ethical tensions inherent to public health practice, such as how best to balance the police power of the state with individual autonomy.
The training provided by this DVD is designed for a wide range of primary care health professionals including GPs, nurses, occupational health, rehabilitation and many others. This DVD will help busy health professionals learn effective cognitive-behavioural therapy (CBT) skills to use in primary care consultations with patients presenting with health anxiety, medically unexplained symptoms and functional somatic disorders. Key features include: * Management of patients with high levels of anxiety about health * How to build rapport and avoid excessive investigations and referrals * Managing frequent attendances at primary care services * CBT strategies to encourage self-management and facilitate behavioural change * Patients presenting with 'tired all the time' and chronic fatigue * Managing irritable bowel syndrome DVD ROM contains printable worksheets. Running time: 85 minutes approx.
Peter Piot, founding executive director of the Joint United Nations Programme on HIV/AIDS (UNAIDS), recounts his experience as a clinician, scientist, and activist fighting the disease from its earliest manifestation to today. The AIDS pandemic was not only disruptive to the health of millions worldwide but also fractured international relations, global access to new technologies, and public health policies in nations across the globe. As he struggled to get ahead of the disease, Piot found science does little good when it operates independently of politics and economics, and politics is worthless if it rejects scientific evidence and respect for human rights.
Piot describes how the epidemic altered global attitudes toward sexuality, the character of the doctor-patient relationship, the influence of civil society in international relations, and traditional partisan divides. AIDS thrust health into national and international politics where, he argues, it rightly belongs. The global reaction to AIDS over the past decade is the positive result of this partnership, showing what can be acheved when science, politics, and policy converge on the ground. Yet it remains a fragile achievement, and Piot warns against complacency and the consequences of reduced investments. He refuses to accept a world in which high levels of HIV infection are the norm. Instead, he explains how to continue to reduce the incidence of the disease to minute levels through both prevention and treatment, until a vaccine is discovered.
In The Colonial Politics of Global Health, Jessica Lynne Pearson explores the collision between imperial and international visions of health and development in French Africa as decolonization movements gained strength. After World War II, French officials viewed health improvements as a way to forge a more equitable union between France and its overseas territories. Through new hospitals, better medicines, and improved public health, French subjects could reimagine themselves as French citizens. The politics of health also proved vital to the United Nations, however, and conflicts arose when French officials perceived international development programs sponsored by the UN as a threat to their colonial authority. French diplomats also feared that anticolonial delegations to the United Nations would use shortcomings in health, education, and social development to expose the broader structures of colonial inequality. In the face of mounting criticism, they did what they could to keep UN agencies and international health personnel out of Africa, limiting the access Africans had to global health programs. French personnel marginalized their African colleagues as they mapped out the continent's sanitary future and negotiated the new rights and responsibilities of French citizenship. The health disparities that resulted offered compelling evidence that the imperial system of governance should come to an end. Pearson's work links health and medicine to postwar debates over sovereignty, empire, and human rights in the developing world. The consequences of putting politics above public health continue to play out in constraints placed on international health organizations half a century later.
This new volume provides a timely study on the environmental challenges from a specific class of perfluorinated chemical compounds (PFCs) that are now being recognized as a worldwide health threat. Recent studies report that levels of classes of PFCs known as polyfluoroalkyl and perfluoroalkyl (PFASs) exceed federally recommended safety levels in public drinking-water supplies for 6 million people in the United States and that as many as 100 million people could be at risk from exposure to these chemicals. These chemicals occur globally in wildlife and humans. Both PFCAs and PFSAs have been produced for more than 50 years, but have only become of interest to regulators and environmentalists since the late 1990s. Recent advances in analytical methodology has enabled widespread detection in the environment and humans at trace levels. These toxic chemicals have been found in outdoor and indoor air, surface and drinking water, house dust, animal tissue, human blood serum, and human breast milk. Of great concern to communities is the presence of these compounds in a number of drinking water supplies in the U.S. and other countries. This new volume provides a timely explanation of the chemicals, provides a detailed review of the regulations both in the US and European Community, explains the health risk literature, and then explores in great detail available treatment technologies. The volume is a must for public water supply facilities, industrial operations that have historically used these chemicals and face legacy pollution issues, policy makers and the general public.
Designed for undergraduate instruction across a range of majors or concentrations in health science, health education, public health, and health administration, as well as clinical health disciplines including nursing, allied health, and health professions, this new first edition will introduce your students to the basics of health communication. Health Communication: Strategies and Skills for a New Era provides a practical process model for developing a health communication intervention. The book also explores exposure to media and how it shapes our conceptions of health and illness. Using a community-based health communication approach, the book covers a broad base of information from communication and health behavior theory, community-based program planning, and social marketing constructs to provide students with the keys to develop effective and culturally appropriate health communication. Key Features: - Explores media representations and consumption of health information and audiences defined by demographic and cultural factors - Offers examples and features that are geared to smaller scale projects, (e.g., school based, community based, and health center based projects) - Presents current, practical methods for the use of digital and interactive media in health communication interventions - Includes coverage of health disparities, women's health, and health literacy - Covers worksite health, school health, and healthcare-representing key industries where health communication skills are in demand
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